Claim total
$37,138.75
base $155.66 · payer covered $37,103.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-05-18
- Stop
- 2018-05-18
The parties
- Patient
- patient Kamala Berge
- Provider
- provider Julee Jones
- Payer
- payer Dual Eligible
Record id
298d869d-d937-6799-8c84-37dd96356805